Provider – Claims Information

 

Please send all correspondence and completed claims to the following address:

     Hawaii Dental Service
     900 Fort Street Mall, Suite 1900
     Honolulu, HI 96813-3705

HDS accepts electronic claims from the following vendors:

• Apex EDI
   
• Change Healthcare
   
• Claim Remedi
   
• DAISY
   
• DentalXChange
   
• Innova Dental
   
• Kodak
   
• NextGen
   
• Tesia

 

HDS Payer ID:  99010

HDS Medicaid Payer ID:  HDSMH

Contact your vendor directly for more information.

 

HDS Online – For Participating Dentists Only

HDS’s web-based product is available to participating dentists in the State of Hawaii, Guam and Saipan to verify patient eligibility, limits, benefits, history and to submit claims. To register for HDS Online, complete and fax the following form to Professional Relations.

• HDS Online Registration Form (pdf)
   

Claims Appeal Process

If you would like to appeal a claim, please contact HDS in writing within 90 days of receiving the Remittance Advice (RA).  Mail a copy of your letter indicating the claim number along with the RA.